Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01929 | Date 12/11/2018 |
| Token No | SM/18-19/4145 26/11/2018 | Serial | 018 Last Visit: 28/06/2019 |
| Patient Name | Mrs. BITHIKA CHATTACHRJEE | Contact No | 9874454696 |
| Address | 10 DR. P N MUKHERJEE STREET | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||